Facility profile · CCN 215082
Autumn Lake Healthcare At Pikesville
61 federal citations on record , including 1 at the Immediate Jeopardy level.
Record summary
Federal record · Q1 202661
Total citations
10
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
61 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 18, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Jun 18, 2025 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard |
| Jun 18, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 18, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Jun 18, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jun 18, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jun 18, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jun 18, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Jun 18, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jun 18, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Aug 11, 2022 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| Aug 11, 2022 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Aug 11, 2022 | F922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard |
| Aug 11, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard |
| Aug 11, 2022 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Aug 11, 2022 | F908 | Keep all essential equipment working safely. | F | Standard |
| Aug 11, 2022 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard |
| Aug 11, 2022 | F886 | Perform COVID19 testing on residents and staff. | D | Standard |
| Aug 11, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 11, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 11, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Aug 11, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Aug 11, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Aug 11, 2022 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Aug 11, 2022 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Aug 11, 2022 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Aug 11, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 11, 2022 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Aug 11, 2022 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard |
| Aug 11, 2022 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Aug 11, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Aug 11, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Aug 11, 2022 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 11, 2022 | F732 | Post nurse staffing information every day. | C | Standard |
| Aug 11, 2022 | F730 | Observe each nurse aide's job performance and give regular training. | F | Standard |
| Aug 11, 2022 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Aug 11, 2022 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard |
| Aug 11, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 11, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Aug 11, 2022 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard |
| Aug 11, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 11, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F | Standard |
| Aug 11, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | Standard |
| Aug 11, 2022 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Aug 11, 2022 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 11, 2022 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Aug 11, 2022 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Aug 11, 2022 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Aug 11, 2022 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Standard |
| Aug 11, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Aug 11, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Aug 11, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Standard |
| Aug 11, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Aug 11, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | F | Standard |
| Aug 11, 2022 | F570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard |
| Aug 11, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 11, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 21, 2018 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 21, 2018 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Dec 21, 2018 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 21, 2018 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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